摘要
目的:探讨用罗哌卡因联合舒芬太尼对产妇进行硬膜外麻醉的效果。方法:随机抽选2018年7月至2019年5月在广东省台山市妇幼保健院进行分娩的60例产妇作为研究对象。按随机数表法将其分为罗-舒组和对比组。为罗-舒组产妇采用罗哌卡因联合舒芬太尼进行硬膜外麻醉,为对比组产妇采用罗哌卡因联合芬太尼进行硬膜外麻醉。然后对比两组产妇的麻醉效果。结果:1)在用药3 min后、用药5 min后、用药10 min后、用药30 min后和用药60 min后,罗-舒组产妇的VAS评分均低于对比组产妇,P<0.05。2)罗-舒组产妇麻醉起效的时间、总产程持续的时间均短于对比组产妇,其产后出血量少于对比组产妇,其新生儿的1 min Apgar评分、5 min Apgar评分均高于对比组产妇,P<0.05。结论:用罗哌卡因联合舒芬太尼对产妇进行硬膜外麻醉的效果显著,可有效地减轻其分娩疼痛,缩短其产程,且安全性较高。
Objective:To investigate the effect of ropivacaine combined with sufentanil on epidural anesthesia in puerpera.Methods:60 women who gave birth in Taishan Maternal and Child Health Hospital in Guangdong province from July 2018 to May 2019 were randomly selected as study subjects.According to the random number table method,they were divided into Luo-Shu group and comparison group.Ropivacaine and sufentanyl were used for epidural anesthesia for ropivacaine and fentanyl for epidural anesthesia for comparison group.Then the anesthetic effects of the two groups were compared.Results:1)After 3 min of medication,5 min of medication,10 min of medication,30 min of medication and 60 min of medication,VAS score of ro-Shu group was lower than that of the control group(P<0.05).2)The onset time and duration of total labor were shorter in the Ro-Shu group than in the control group,and the amount of postpartum blood loss was less than in the control group.The Apgar score of newborns in 1 min and 5 min were higher than in the control group(P<0.05).Conclusion:Ropivacaine combined with sufentanil has a significant effect on epidural anesthesia in puerpera,which can effectively reduce the labor pain and shorten the labor proce ss,and is relatively safe.
作者
陈水清
杨远平
陈晓燕
Chen Shuiqing;Yang Yuanping;Chen Xiaoyan(Taishan Maternal and Child Health Hospital,Taishan 529200,China)
